| Lifespan Psychological Services | |
|
801 W Mills St Siute B Columbus NC 28722-8494 | |
| (828) 894-2300 | |
| Not Available |
| Full Name | Lifespan Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 801 W Mills St, Columbus, North Carolina |
| Authorized Official Name and Position | Gordon D Schneider (OWNER) |
| Authorized Official Contact | 8288942300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychological Services Po Box 1085 Columbus NC 28722-1085 Ph: (828) 894-2300 | Lifespan Psychological Services 801 W Mills St Siute B Columbus NC 28722-8494 Ph: (828) 894-2300 |
| NPI Number | 1376705640 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376705640 | NPI | - | NPPES |
| 6000122 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1908 (North Carolina) | Primary |
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